Doylestown Health Care Center - Doylestown Nursing Home
General Information
UPDATEFederal Provider Number
365695
Provider Name
DOYLESTOWN HEALTH CARE CENTER
Provider Address
95 BLACK DRIVE
DOYLESTOWN, OH 44230
DOYLESTOWN, OH 44230
Provider Phone Number
(330) 658-2061
Provider SSA County
860
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OMNI MANOR, INC.
Date First Approved to Provide Medicare and Medicaid services
1987-05-18
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.74545
Reported LPN Staffing Hours per Resident per Day
0.97013
Reported RN Staffing Hours per Resident per Day
0.84351
Reported Licensed Staffing Hours per Resident per Day
1.81364
Reported Total Nurse Staffing Hours per Resident per Day
4.55909
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14481
Expected CNA Staffing Hours per Resident per Day
2.44348
Expected LPN Staffing Hours per Resident per Day
0.64260
Expected RN Staffing Hours per Resident per Day
1.10958
Expected Total Nurse Staffing Hours per Resident per Day
4.19565
Adjusted CNA Staffing Hours per Resident per Day
2.75694
Adjusted LPN Staffing Hours per Resident per Day
1.25306
Adjusted RN Staffing Hours per Resident per Day
0.56803
Adjusted Total Nurse Staffing Hours per Resident per Day
4.38007
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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